| Michelle M. White, Ph.d. And Associates, P.s. | |
|
325 S University Rd Suite 202 Spokane Valley WA 99206-5227 | |
| (509) 534-9380 | |
| (509) 534-9385 |
| Full Name | Michelle M. White, Ph.d. And Associates, P.s. |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 325 S University Rd, Spokane Valley, Washington |
| Authorized Official Name and Position | Michelle M. White (CLINICAL NEUROPSYCHOLOGIST) |
| Authorized Official Contact | 5095349380 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Michelle M. White, Ph.d. And Associates, P.s. 325 S University Rd Suite 202 Spokane Valley WA 99206-5227 Ph: (509) 534-9380 | Michelle M. White, Ph.d. And Associates, P.s. 325 S University Rd Suite 202 Spokane Valley WA 99206-5227 Ph: (509) 534-9380 |
| NPI Number | 1780871442 |
|---|---|
| Provider Enumeration Date | 09/26/2007 |
| Last Update Date | 01/27/2010 |
| Medicare PECOS PAC ID | 4385548874 |
|---|---|
| Medicare Enrollment ID | O20031125000905 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780871442 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | PY00001933 (Washington) | Primary |
| 103T00000X | Psychologist | PY00001933 (Washington) | Secondary |
| Provider Name | Michelle M White |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1194886663 PECOS PAC ID: 6800790395 Enrollment ID: I20031222000685 |
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